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Search › Florida › 183500000X

Jatea Maddox, PHARM. D

NPI 1871880385 · on the registry since 2011 · sole proprietor

Practice

Address
2575 Enterprise Rd
Target Pharmacy Store Number (T-0874)
Orange City, FL 32763
Phone
(386) 774-6477
Fax
(386) 774-6477
Organisation at this address
Holiday Cvs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida